Individual
DR. SUE ANN BEREND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1471 RAYMOND EDWARDS RD, HENRIETTA, TX 76365-7297
(505) 690-8357
Mailing address
1471 RAYMOND EDWARDS RD, HENRIETTA, TX 76365-7297
(505) 690-8357
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
DI38592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BERES1
DEPT. OF HEALTH
NY
01
—
DI38592
DEPT. OF HEALTH
FL
01
—
DRM42
DEPT. OF HEALTH SERVICES
CA
Enumeration date
08/22/2007
Last updated
11/30/2022
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